INTRO TO MATERNITY AND PEDS CHAPTER 30 EXAM SOLVED 100%
1. The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is infant skin different from adult skin?
a. Less perfusion
b. Greater moisture
c. More perspiration
d. Greater absorption - ANSWER-ANS: D
The child's skin has a dramatically greater ability to absorb than does that of the adult.
2. What risk is increased with children who have been diagnosed with infantile eczema?
a. Pneumonia
b. Acne
c. Sun sensitivity
d. Asthma - ANSWER-ANS: D
Some children with eczema also develop asthma and hay fever-type allergies.
3. What is the appropriate technique for the application of a topical treatment for a child with eczema?
a. Apply skin lotions in a circular motion.
b. Apply prescribed ointments with a gloved hand.
c. Apply as much and as frequently as relieves the symptoms.
d. Choose lanolin-based ointments. - ANSWER-ANS: B
The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes. Lanolin-based preparations should be avoided because of a possible allergy to wool.
4. A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action?
a. Report it immediately because it may be a staphylococcus infection.
b. Keep the affected area dry and clean.
c. Teach the parents how to care for seborrheic dermatitis.
d. Chart the finding because it may be the beginning of a strawberry nevus. - ANSWER-
ANS: A
A staphylococcal infection can spread readily
5. The home health nurse discovers a family infected with pediculosis. What information
can the nurse provide to the mother to start eradication of the lice?
a. Cover the hair with Vaseline.
b. Apply a soda-vinegar solution to the hair.
c. Comb through the hair with a vinegar-water solution.
d. Shampoo the hair with dish detergent. - ANSWER-ANS: C Combing a vinegar and water solution through the hair with a fine-tooth comb and then shampooing is an initial step toward eradication.
6. A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid?
a. Citrus fruit and juice
b. Eating shellfish
c. Alcohol consumption
d. Taking corticosteroids - ANSWER-ANS: C
Consumption of alcohol while taking griseofulvin will cause severe tachycardia.
7. What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
a. Get a prescription for oral contraceptives.
b. Increase the dose of the present medication.
c. Limit intake of chocolate, cola, and peanuts.
d. Increase exposure to sunlight. - ANSWER-ANS: A
Oral contraceptives are often prescribed for adolescents with acne. Accutane can cause
birth defects, so pregnancy should be prevented.
8. A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nurse classify this burn when documenting?
a. First-degree
b. Second-degree superficial
c. Second-degree deep dermal
d. Third-degree - ANSWER-ANS: B
A second-degree superficial burn appears blistered, moist, and pink or red. The pain associated with this burn indicates tissue viability.
9. A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take?
a. Immerse the burned area in cold water.
b. Apply ice to the burned area.
c. Break any blisters that are present.
d. Apply petroleum jelly to the burned skin. - ANSWER-ANS: A
First-aid treatment of a second-degree deep thermal burn is immersion of the burned area in water to halt the burning process.
10. Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
a. Penicillin
b. Iodine
c. Tetanus immunizations
d. Sulfa - ANSWER-ANS: D
The use of Silvadene cream on burns is contraindicated if the patient has a sulfa allergy.
1. The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is infant skin different from adult skin?
a. Less perfusion
b. Greater moisture
c. More perspiration
d. Greater absorption - ANSWER-ANS: D
The child's skin has a dramatically greater ability to absorb than does that of the adult.
2. What risk is increased with children who have been diagnosed with infantile eczema?
a. Pneumonia
b. Acne
c. Sun sensitivity
d. Asthma - ANSWER-ANS: D
Some children with eczema also develop asthma and hay fever-type allergies.
3. What is the appropriate technique for the application of a topical treatment for a child with eczema?
a. Apply skin lotions in a circular motion.
b. Apply prescribed ointments with a gloved hand.
c. Apply as much and as frequently as relieves the symptoms.
d. Choose lanolin-based ointments. - ANSWER-ANS: B
The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes. Lanolin-based preparations should be avoided because of a possible allergy to wool.
4. A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action?
a. Report it immediately because it may be a staphylococcus infection.
b. Keep the affected area dry and clean.
c. Teach the parents how to care for seborrheic dermatitis.
d. Chart the finding because it may be the beginning of a strawberry nevus. - ANSWER-
ANS: A
A staphylococcal infection can spread readily
5. The home health nurse discovers a family infected with pediculosis. What information
can the nurse provide to the mother to start eradication of the lice?
a. Cover the hair with Vaseline.
b. Apply a soda-vinegar solution to the hair.
c. Comb through the hair with a vinegar-water solution.
d. Shampoo the hair with dish detergent. - ANSWER-ANS: C Combing a vinegar and water solution through the hair with a fine-tooth comb and then shampooing is an initial step toward eradication.
6. A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid?
a. Citrus fruit and juice
b. Eating shellfish
c. Alcohol consumption
d. Taking corticosteroids - ANSWER-ANS: C
Consumption of alcohol while taking griseofulvin will cause severe tachycardia.
7. What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
a. Get a prescription for oral contraceptives.
b. Increase the dose of the present medication.
c. Limit intake of chocolate, cola, and peanuts.
d. Increase exposure to sunlight. - ANSWER-ANS: A
Oral contraceptives are often prescribed for adolescents with acne. Accutane can cause
birth defects, so pregnancy should be prevented.
8. A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nurse classify this burn when documenting?
a. First-degree
b. Second-degree superficial
c. Second-degree deep dermal
d. Third-degree - ANSWER-ANS: B
A second-degree superficial burn appears blistered, moist, and pink or red. The pain associated with this burn indicates tissue viability.
9. A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take?
a. Immerse the burned area in cold water.
b. Apply ice to the burned area.
c. Break any blisters that are present.
d. Apply petroleum jelly to the burned skin. - ANSWER-ANS: A
First-aid treatment of a second-degree deep thermal burn is immersion of the burned area in water to halt the burning process.
10. Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
a. Penicillin
b. Iodine
c. Tetanus immunizations
d. Sulfa - ANSWER-ANS: D
The use of Silvadene cream on burns is contraindicated if the patient has a sulfa allergy.
